Loofah seeds cannot cure shoulder and arm pain. Loofah seeds are the dried mature seeds of the cucurbit plant loofah, when used as a medicinal herb, it has the efficacy of expelling worms, laxative, clearing heat and resolving phlegm, and is often used to improve lung-heat cough, phlegm, constipation, and to treat ascariasis and other disorders. The adverse reactions and contraindications are not clear. The specific efficacy and action of this drug can be seen that this drug cannot be used to treat shoulder and arm pain. Shoulder and arm pain belongs to the category of “paralysis” in Chinese medicine, which is related to deficiency of positive energy, old age and prolonged illness, and feeling of external evils, etc. According to the actual symptoms and causes of the disease, Chinese medicine practitioners categorize this disease into cold and dampness stagnation, qi stagnation and blood stagnation (due to blood stasis caused by lack of qi flow) and other types. Different types require different medications to treat, and the medication can also be used in conjunction with acupuncture and tuina to improve the condition. How to treat shoulder and arm pain should be based on the patient’s own condition and the guidance of professional doctors.